${page.setTitle("旅行就医 | 首页")}
<div  class="gp-rms-home"  id="g-cfg" data-fo-totop="0"  >
	<div class="header"></div>
	<div class="g-container">
		<div  class="order-dialog">
			<div class="title"><i></i><span>旅行就医自助服务预订</span></div>
			<div class="body">
				 <form action="${rmsServer}/search/init" class="gfm-line" method="post" id="homeForm" name="orderConditionVO">
				 <input type="hidden" name="clicStrDate" value="${orderDTO.clinicDate}"/>
				 	<input type="hidden" name="orderId" value="${orderDTO.orderNo}"/>
				 	<input type="hidden" name="stopCity" value="${hospitalDO.proviceName}${hospitalDO.cityName}"/>
				<!--  	<input type="hidden" id="clinicDate" value="${orderDTO.clinicDate}"/> -->
				 	<#if (msgJson??)&&(msgJson.hasError)>
					 	 <div class="g-tips-box-error">
						   		<span class="gi gi-error"></span>
						   		<span class="content">
            						${msgJson.message}
						   		</span>
						  </div>
					  </#if>
				 	 <ul class="g-clear">  
						<li class="gfm-item">
		            		<span class="gfm-left">就诊医院：</span>
		            		<span class="gfm-right">${hospitalDO.proviceName}${hospitalDO.cityName}-${orderDTO.hosptialName}</span>
		            	</li>   
		            	<li class="gfm-item">
		            		<span class="gfm-left">就诊日期：</span>
		            		<span class="gfm-right">${orderDTO.clinicDate}</span>
		            	</li>   
		            	<li class="gfm-item g-left">
		            		<span class="gfm-left">出发城市：</span>
		            		<input type="text" class="gfm-input"  data-required="1"  name="startCity" id="startCity" value="${orderConditionVO.startCity}">  
		            	</li>   
		            	<li class="gfm-item g-left">
		            		<span class="gfm-left">出发日期：</span>
		            		<span class="g-datepicker">
		            			<input type="text" class="gfm-input"  data-required="1" value="${orderConditionVO.startDate}" name="startDate" id="startDate" >  
		            		</span>
		            	</li>   
		            	<li class="gfm-item g-left">
		            		<span class="gfm-left">出行人数：</span>
		            		<!-- <input type="text" class="gfm-input input-small"   data-required="1"  pattern="^\d$" data-message="请输入数字" value="${orderConditionVO.peopleNum}" name="peopleNum" >&nbsp;&nbsp;人   -->
		            	     <select  name="peopleNum" id="peopleNum">
										<option value="1">1</option>
										<option value="2">2</option>
										<option value="3">3</option>
										<option value="4">4</option>
										<option value="5">5</option>
										<option value="6">6</option>
							 </select>&nbsp;&nbsp;人  
		            	</li>   
		            	<li class="gfm-item g-left">
		            		<span class="gfm-left">交通工具：</span>
		            		<label>
		            			<input type="radio" checked="checked"  data-required="1" data-message="请选择一项" value="0" name="vehicle"  >
		            			飞机  
		            		</label>
		            		<label>
		            			<input type="radio" <#if 1==orderConditionVO.vehicle>checked="checked" </#if>  data-required="1"  data-message="请选择一项" value="1" name="vehicle"  >  
		            			火车
		            		</label>
		            	</li>   
		            	<li class="gfm-item g-left">
		            		<span class="gfm-left">预定房间：</span>
		            		<!-- <input type="text" class="gfm-input input-small"  data-required="1" pattern="^\d$" data-message="请输入数字"  value="${orderConditionVO.orderRoom}" name="orderRoom" >&nbsp;&nbsp;间  -->
		            		 <select  name="orderRoom" id="orderRoom">
										<option value="1">1</option>
										<option value="2">2</option>
										<option value="3">3</option>
										<option value="4">4</option>
										<option value="5">5</option>
										<option value="6">6</option>
							 </select>&nbsp;&nbsp;间
		            	</li>   
		            	<li class="gfm-item g-left">
		            		<span class="gfm-left">入住天数：</span>
		            		<input type="text" id="arrivalDays" class="gfm-input input-small"  data-required="1" pattern="^\d{0,}$" data-message="请输入数字"  value="${orderConditionVO.arrivalDays}" name="arrivalDays" >&nbsp;&nbsp;晚 
		            	</li>   
		            	<#if (haveMedicalServices??)&&(haveMedicalServices)>
		            	<li class="gfm-item g-left ">
		            		<span class="gfm-left">陪诊服务：</span>
		            		<label><input type="checkbox"   value="true" name="medicalServices" id="medicalServices" <#if orderConditionVO.medicalServices> checked="checked" </#if>>需要</label>
		            	</li>  
		            	</#if>
	            	</ul>
	            	</font>
	            	<div class="action">
	            		<a href="javascript:;" class="gbb gbt-green js-order">马上预定</a>
	            		<a href="${guahaoServer}/ydjy/ask"  target="_blank" class="gbb gbt-blue1 js-consult">在线咨询</a>
	            	</div>
				 </form>
			</div>
		</div>
		<div class="order-tips">
			<i></i>
			<div class="tips-text">
				 <h1>服务简介</h1>
				    <p>挂号网联合携程针对 <em>已预约患者</em> 推出旅行就医管家式旅行服务，提供票务+酒店+接机、陪诊的就医服务。用户只需在线填写需求，后续复杂的<em>选择票务、挑选酒店入住、联系接机/接站、委托亲朋陪诊</em>挂号网出行助理帮您一站式全部搞定，让您省时、省事、省心、省钱！旅行就医自助版，让就医更加简单！</p>
				    <p class="service">服务说明： </p>
				    <p>旅行就医自助版产品目前针对全国有需求的患者，一期上线仅陪诊为可自由选择，其他均为打包产品不可拆分</p>
			</div>
		</div>
	</div>
   <div class="bottom">
 		    <p>
	 		  <a href="javascript:;" class="first">
	          		<i></i>
	          		<span>选择套餐</span>
	          </a>
	          <i class="Split"></i>
	          <a href="javascript:;" class="second">
	          		<i></i>
	          		<span>下单支付</span>
	          </a>
	          <i class="Split"></i>
	          <a href="javascript:;" class="third">	
	          	   <i></i>
	          		<span>订单受理</span>
	          </a>
	          <i class="Split"> </i>
	          <a href="javascript:;" class="fourth">
	          	   <i></i>
	          	   <span>如期出行</span>
	          </a>
	          <i class="Split"></i>	
	          <a href="javascript:;" class="fifth">
	          		<i></i>
	          		<span>使用评价</span>
	          </a>
	          <span class="title"></span>
 		   </p>
    </div>
</div>
